Approche orthopédique des asymétries

Bardinet, Etienne; Duhart, Anne-Marie

doi:10.1051/orthodfr/200273215

Cited by 2 publications

(6 citation statements)

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“…A functional condyle is a prerequisite for using OFA, as predictable centric relation and centric occlusion mandibular positions are necessary to construct the appliance. 15,21,23,31 Although, studies have demonstrated that functional appliances stimulate the remodelling of the temporomandibular joint (TMJ) and improves soft tissue balance in patients with abnormal condyles, which has been showed…”

Section: Evaluation Of Condylar Morphologic Changes Resulting From Th...mentioning

confidence: 99%

“…The reported aims across the included articles were somewhat comparable. The treatment goals of the included studies focussed on the management of dentofacial asymmetry and improvement in maxillary and mandibular deficiencies, 23 lengthening of the mandibular ramus by growth modification or surgery, 44,48,49 correction of dental occlusion to improve function, and enhancement of appearance and soft‐tissue balance 5,13,18,21–23,34 …”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17] Various surgical techniques are described, but no consensus regarding the best approach or timeline for treatment exists. [18][19][20] Orthopaedic functional appliances (OFA) have been used in growing patients with mild-to-moderate dentofacial deformity from UCM as either sole treatment [21][22][23] or in combination with mandibular distraction osteogenesis (MDO). 24,25 Controversies exist regarding the role of OFA in the management of UCM.…”

Section: Introductionmentioning

confidence: 99%

“…Orthopaedic functional appliances (OFA) have been used in growing patients with mild‐to‐moderate dentofacial deformity from UCM as either sole treatment 21–23 or in combination with mandibular distraction osteogenesis (MDO) 24,25 . Controversies exist regarding the role of OFA in the management of UCM 26 .…”

Section: Introductionmentioning

confidence: 99%

“…correction of dental occlusion to improve function, and enhancement of appearance and soft-tissue balance 5,13,18,[21][22][23]34. 4.1.3 | The reported effects of OFA across different severities of UCM Across the literature, studies that mention severity suggest a positive impact of OFA on mild to moderate phenotypes 31,34,35.…”

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confidence: 99%

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Management of unilateral craniofacial microsomia with orthopaedic functional appliances: A systematic literature review

Aiyar,

Pedersen,

Resnick

et al. 2023

Orthod Craniofacial Res

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The study aimed to summarize current knowledge regarding the use of orthopaedic functional appliances (OFA) in managing unilateral craniofacial microsomia (UCM). The eligibility criteria for the review were (1) assessing use of OFA as a stand‐alone treatment and (2) using OFA in combination during or after MDO. The PICO (population, intervention, comparison and outcome) format formulated clinical questions with defined inclusion and exclusion criteria. No limitations concerning language and publication year were applied. Information sources: A literature search of Medline, Scopus, Embase, Cochrane Central Register of Controlled Trials, Web of Science databases without restrictions up to 30 September 2022. The risk of bias was assessed. According to Cochrane and PRISMA guidelines, two independent authors conducted data extraction. The level of evidence for included articles was evaluated based on the Oxford evidence‐based medicine database. Due to the heterogeneity of studies and insufficient data for statistical pooling, meta‐analysis was not feasible. Therefore, the results were synthesized narratively. A total of 437 articles were retrieved. Of these, nine met inclusion criteria: five assessing OFA and four assessing OFA during or after MDO. There is limited evidence to suggest that stand‐alone and combination treatment with OFA is beneficial for treating mild‐to‐moderate UCM‐related dentofacial deformities in short term. No studies assessed the burden of care. In the management of UCM, there is insufficient evidence supporting the efficacy of OFA as a stand‐alone treatment or when combined with MDO. Additionally, there is a lack of evidence regarding treatment protocols and the effect on the condyles and the TMJ. The study was registered at Prospero database number CRD42020204969.

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Section: Evaluation Of Condylar Morphologic Changes Resulting From Th...mentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%